HEALTH MATTERS 35 baby boom
he Community Midwifery Service operating from the National Maternity Hospital in Dublin’s Holles Street, comprises a team of 17 midwives and offers a Domino, home birth and early transfer home services. It has delivered over 3,500 babies between january 1999 and April 2010 in the South Dublin and North Wicklow areas. Last year there were 530 domino births, 33 home births and 1,250 women took early transfer home under the care of the service. The service aims to provide a natural, woman-centered and community-based approach to pregnancy and birth within the realms of safe midwifery practice. It is designed for women who are deemed to be at low risk of complications. Research shows that breastfeeding rates increase with continued midwifery care at home. • within the domino (which means ‘In’ and ‘ouT’) service, all antenatal care and education is provided by the community midwifery team. The baby is born in hospital and mum returns home within six to 12 hours as long as there are no complications. All postnatal care and follow-up is in the mother’s home. All this care is provided by the same team of community midwives.
MATERNITY UPDATES T
DOMINO COMMUNITY MIDWIFERY SERVICE
• with the Home Birth service, scans and blood tests are conducted in hospital but all other antenatal appointments are at home. The baby is born at home. One of the community midwives will support the mum-to-be on the day or night of labour, and a second community midwife will be present at the birth. Emergency services are always on standby.
• The Early Transfer Home (ETH) service is where mums and babies transfer home from hospital six-36 hours after delivery. All mums and babies’ follow-up care is given by one of the Community Midwives until day five after delivery.
+ Citizen 2010 – laura o’neill, Bruff, Co limerick with her baby girl, Ava, born at 2.51am new year’s day 2010 in the Limerick Regional Maternity Unit.
Mums-to-be who live in the catchment area are encouraged to consider the Community Midwifery Service which provides a personal and supportive environment for women and their families in their own home. The midwives work closely with women to offer high-quality, evidence-based care thereby supporting spontaneous birth with confidence and competence. Pregnancy and childbirth on occasion needs specialised responses to complications and the community midwives work as a
team with obstetricians to provide the most appropriate care for mothers.
MATERNAL AND NEWBORN CLINICAL MANAGEMENT SYSTEM (MN-CMS) PROJECT
The first installation of a national project to implement a modern integrated Maternity and Neonatal IT System is expected to take place in the second quarter of 2011. The system will be designed to meet the needs of all maternity and neonatal services
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